What 48 hospitals in Massachusetts charged and were paid for level 3 airway endoscopy (APC 5153), from 2024 Medicare claims.
Hospitals in Massachusetts billed an average of $6,677 for level 3 airway endoscopy, about 3.7 times the average medicare-allowed amount of $1,814. That payment is 14% above the U.S. average of $1,594.
These are averages for patients with original (fee-for-service) Medicare. Private insurance pays different, negotiated prices, and what you owe depends on your plan's deductible and coinsurance. Use these figures to compare hospitals, not as a quote.
About 27¢ was paid for every $1 hospitals in Massachusetts billed for this service.
Every Massachusetts hospital that billed Medicare for this service at least 11 times. Click a column to sort.
| Hospital | Services | Avg charge | Avg allowed | Medicare paid |
|---|---|---|---|---|
| Massachusetts Eye and Ear InfirmaryBoston | 733 | $4,319 | $1,813 | $1,441 |
| Beth Israel Deaconess Medical CenterBoston | 163 | $7,971 | $1,823 | $1,451 |
| Umass Memorial Medical Center INCWorcester | 120 | $6,527 | $1,811 | $1,440 |
| Lahey Clinic HospitalBurlington | 116 | $5,888 | $1,823 | $1,452 |
| Brigham and Women's HosptialBoston | 92 | $15,484 | $1,791 | $1,421 |
| Tufts Medical CenterBoston | 81 | $6,337 | $1,805 | $1,434 |
| Massachusetts General HospitalBoston | 75 | $10,456 | $1,823 | $1,451 |
| Boston Medical Center CorporationBoston | 41 | $4,579 | $1,823 | $1,452 |
| Baystate Medical CenterSpringfield | 38 | $5,804 | $1,749 | $1,372 |
| South Shore HospitalSouth Weymouth | 37 | $3,648 | $1,823 | $1,452 |
| Cooley Dickinson Hospital Inc,TheNorthampton | 35 | $7,831 | $1,781 | $1,411 |
| St Vincent HospitalWorcester | 33 | $23,843 | $1,823 | $1,445 |
| Boston Medical Center-BrightonBrighton | 29 | $6,259 | $1,773 | $1,402 |
| Berkshire Medical Center INCPittsfield | 23 | $9,896 | $1,914 | $1,525 |
| Cape Cod HospitalHyannis | 22 | $7,013 | $1,823 | $1,447 |
| Morton Hospital & Medical CenterTaunton | 21 | $4,047 | $1,823 | $1,452 |
| Lowell General HospitalLowell | 17 | $5,124 | $1,823 | $1,452 |
| Union HospitalLynn | 16 | $8,899 | $1,823 | $1,451 |
| Milford Regional Medical CenterMilford | 14 | $7,613 | $1,823 | $1,452 |
| Faulkner HospitalBoston | 14 | $8,475 | $1,823 | $1,452 |
| Beth Israel Deaconess Hospital PlymouthPlymouth | 13 | $7,577 | $1,823 | $1,452 |
| Mercy Medical CenterSpringfield | 13 | $5,364 | $1,823 | $1,452 |
| Southcoast Hospital Group, INCFall River | 13 | $7,600 | $1,823 | $1,442 |
| Healthalliance Hospitals, INCLeominster | 12 | $14,285 | $1,823 | $1,452 |
| Saint Anne's Hospital, a Caritas Family HospitalFall River | 11 | $10,402 | $1,823 | $1,452 |
| Beverly Hospital CorporationBeverly | 11 | $5,246 | $1,823 | $1,452 |
| Mount Auburn HospitalCambridge | – | – | – | – |
| Sturdy Memorial HospitalAttleboro | – | – | – | – |
| Lawrence General HospitalLawrence | – | – | – | – |
| Cambridge Health AllianceCambridge | – | – | – | – |
| Carney HospitalDorchester | – | – | – | – |
| Harrington Memorial HospitalSouthbridge | – | – | – | – |
| Holyoke Medical CenterHolyoke | – | – | – | – |
| Anna Jaques HospitalNewburyport | – | – | – | – |
| Marlborough HospitalMarlborough | – | – | – | – |
| Brockton HospitalBrockton | – | – | – | – |
| Melrosewakefield HealthcareMelrose | – | – | – | – |
| Holy Family Hospital, a Caritas Family HospitalMethuen | – | – | – | – |
| Beth Israel Deaconess Hospital - NeedhamNeedham | – | – | – | – |
| Emerson HospitalConcord | – | – | – | – |
| Heywood HospitalGardner | – | – | – | – |
| Newton-Wellesley HospitalNewton Lower Falls | – | – | – | – |
| Winchester HospitalWinchester | – | – | – | – |
| Milton HospitalMilton | – | – | – | – |
| Good Samaritan Medical Center, a Caritas Family HoBrockton | – | – | – | – |
| Falmouth HospitalFalmouth | – | – | – | – |
| Metrowest Medical CenterFramingham | – | – | – | – |
| Children's Hospital BostonBoston | – | – | – | – |
Among hospitals with at least 11 Medicare services. Differences reflect local wage costs, teaching status and how sick patients were, as well as price.
| Baystate Medical CenterSpringfield, MA | $1,749 |
|---|---|
| Boston Medical Center-BrightonBrighton, MA | $1,773 |
| Cooley Dickinson Hospital Inc,TheNorthampton, MA | $1,781 |
| Brigham and Women's HosptialBoston, MA | $1,791 |
| Tufts Medical CenterBoston, MA | $1,805 |
| Berkshire Medical Center INCPittsfield, MA | $1,914 |
|---|---|
| Southcoast Hospital Group, INCFall River, MA | $1,823 |
| St Vincent HospitalWorcester, MA | $1,823 |
| Cape Cod HospitalHyannis, MA | $1,823 |
| Union HospitalLynn, MA | $1,823 |
In 2024 Medicare data, level 3 airway endoscopy (APC 5153) at 48 hospitals in Massachusetts was billed at $6,677 on average, while the average medicare-allowed amount was $1,814, of which Medicare paid $1,442. Your own cost depends on your insurance, deductible and the hospital.
Charges are a hospital's list prices. Medicare pays fixed rates set in advance, and private insurers negotiate their own discounts, so almost nobody pays the full charge. For this service in Massachusetts, average charges were 3.7 times the average payment. Uninsured patients can ask the hospital about its financial assistance (charity care) policy and cash prices.
Source: CMS, Medicare Outpatient Hospitals by Provider and Service, 2024. The allowed amount is Medicare's payment plus the patient's coinsurance. CMS omits hospitals with fewer than 11 services for privacy. About the data.